MEDICARE: CORAZON C GATCHALIAN CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	324212-1	NY

General Provider Information

NPI Number	:	1649278268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORAZON C GATCHALIAN CRNA

Provider Business Mailing Address
First Line	:	417 LISK AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10303-1779
Country	:	US
Telephone Number	:	718-877-4631
Fax Number	:

Provider Business Practice Location Address
First Line	:	417 LISK AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10303-1779
Country	:	US
Telephone Number	:	718-877-4631
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	05/11/2015

Similar Medicare Providers

1972555639 — MS. VIVIAN CAMPBELL LCSW
Practice Location Address:

489 LISK AVE
STATEN ISLAND, NY
10303-1779

Practice Phone: 718-370-2002
Practice Fax:

1366070997 — ZUNAIR AMJAD PTA
Practice Location Address:

491 LISK AVE
STATEN ISLAND, NY
10303-1779

Practice Phone: 718-377-5000
Practice Fax: 718-377-5002

1689659302 — MR. JUAN E MAGUINA M.D.
Practice Location Address:

1779 RICHMOND AVE
STATEN ISLAND, NY
10314-3907

Practice Phone: 718-982-6800
Practice Fax: 718-982-6830

1700181807 — A NEW STRIDE P T S L P THERAPEUTIC SERVICES PLLC
Practice Location Address:

1779 RICHMOND AVE , FL 3
STATEN ISLAND, NY
10314-3907

Practice Phone: 718-494-5923
Practice Fax:

1871908426 — MRS. JENNIFER A GIAMBOI MSN,RN,FNP,CLC
Practice Location Address:

1779 RICHMOND AVE
STATEN ISLAND, NY
10314

Practice Phone: 718-982-6800
Practice Fax: 718-982-6830

1568742781 — MS. CHERRISSE BUNCH NP
Practice Location Address:

2079 FOREST AVE UNIT 30073
STATEN ISLAND, NY
10303-1767

Practice Phone: 929-855-6289
Practice Fax: 718-691-7735

Directions to “ CORAZON C GATCHALIAN CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.